<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<title></title>
	</head>
	<body>
		<table border="1" width="500" height="200">
			<tr>
				<td colspan="4"></td>
				<td rowspan=""></td>
				<td></td>
			</tr>
			<tr>
				<td></td>
				<td></td>
				<td></td>
			</tr>
		</table>
		
		<input type="checkbox" maxLength = "4" />
		<select>
			<option>1</option>
			<option  selected="selected">3</option>
			<textarea cols="700px"></textarea>
		</select>
	</body>
</html>
